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Inspection on 22/06/07 for Kilcreggan Residential Care Home

Also see our care home review for Kilcreggan Residential Care Home for more information

This inspection was carried out on 22nd June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There is a high level of commitment from the management team, as they live in a bungalow attached to the home and are constantly available. They are happy to talk to residents and their relatives as and when they are needed and to support the staff daily. A friendly, welcoming atmosphere is encouraged by a staff team that have spent many years working in the home. All of who appreciate the supportive management, the friendly team and the happy residents. All of the residents spoken with or received questionnaires from the Commission were very positive about the care that they received. This included comments such as "staff are flawless", "I am very happy here", "Can`t fault the home" and " it was a very good choice to come and live here".

What has improved since the last inspection?

There has been significant improvements in a number of areas. Medication are now being dealt with in a manner that safeguards the residents. Care plans now detail resident`s needs and how to meet those needs and the residents are supported to be involved in the writing and review of their individual care plan. Residents meetings are being held and their point of view is being used to help the management team how to increase the quality of the service provided. Staff recruitment and training is being managed more effectively and staff are now receiving training that meets all health and safety requirements.

What the care home could do better:

The management team has done a lot of work in the last 12 months and they have addressed all the requirements made. There are still areas that they need to improve. Such as what the residents particular choices are and how to meet individual preferences. The risk assessments need to be further developed in particular those around residents self-medicating and those at risk of falls. Staff also need to make sure that they document accidents such as falls in order that they can be monitored and used to influence the quality of care. Other areas that need to be developed include keeping better daily records on how the staff have met the residents needs, staff training that is geared towards residents assessed needs and the roles of the staff and adhering to instructions received from the fire officer.

CARE HOMES FOR OLDER PEOPLE Kilcreggan Residential Care Home 35 Ashburton Road Claughton Village Birkenhead Wirral CH43 8TN Lead Inspector Mrs Julie Garrity Key Unannounced Inspection 22nd June 2007 10:15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kilcreggan Residential Care Home Address 35 Ashburton Road Claughton Village Birkenhead Wirral CH43 8TN 0151 652 0845 0151 653 8183 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Kilcreggan Residential Care Home Limited Mrs Jean Koltuniak Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th April 2006 Brief Description of the Service: Kilcreggan is registered to provide personal care only for 19 older people. It is a detached, three storey house situated near to Claughton Village, a residential area of Birkenhead. The home has been extended over the years and provides accommodation in 15 bedrooms. At present all the rooms are used as single rooms, all but one room is large enough to accommodate a married couple if they wish. The home has no provision for residents who smoke all potential residents are informed. Kilcreggan has a dining room and two lounges on the ground floor. The dining room and one lounge look out on to a courtyard style garden. The garden is well maintained and is easily accessed by the residents. There is a lift that serves all floors, some bedrooms in the home are only accessible by some steps. These rooms are available for residents who can climb the few steps. There are appropriate sloping ramps that support less mobile individuals to access the home with. Security access is in place at the front door. All visitors must ring the doorbell to gain access to the building. Car parking is available at the front of the home. Kilcreggan is close to bus routes to Birkenhead and community facilities in Claughton Village. This is a family business, the former owner is the Registered Manager, her son is the Registered Individual and his wife is the deputy manager. The family live in a bungalow, which is attached to the home. Fees for the home are from £340.01 to £355.00 per week in line with the rates agreed with the local council. Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over a period of one day. The inspector arrived at the home at 10:15 and left at 16.20. The inspector spoke with 6 residents, 2 relatives, 3 staff the deputy manager and the manager. The inspector completed the inspection by a site visit to Kilcreggan, a review of records available in Kilcreggan, these included care plans, medications, staff training, staff recruitment, policies and procedures, daily records and maintenance records. Records held in CSCI offices were also looked at. The main emphasis was discussions with residents, staff and management. Questionnaires were sent to the home for residents and eight were returned prior to completion of this report. Copies of records were submitted to CSCI for review in this inspection. The inspector followed an inspection plan written before the start of the inspection to ensure that all areas identified in need of review were covered. All of the Key standards were covered in this inspection, these are detailed in the report. Feedback was given to the manager and her deputy during and at the end of the inspection. The arrangements for equality and diversity were reviewed throughout the visit and are detailed in this report. Particular emphasis was placed on the methods that the home used to determine individual needs and the practices that they put into place to meeting those needs. What the service does well: What has improved since the last inspection? Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 6 There has been significant improvements in a number of areas. Medication are now being dealt with in a manner that safeguards the residents. Care plans now detail resident’s needs and how to meet those needs and the residents are supported to be involved in the writing and review of their individual care plan. Residents meetings are being held and their point of view is being used to help the management team how to increase the quality of the service provided. Staff recruitment and training is being managed more effectively and staff are now receiving training that meets all health and safety requirements. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard assessed was 3 standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. As all residents are assessed before they move in the home, this helps the manager and deputy manager decide if they can meet the needs of the residents. Residents only come to live in the home when they feel confident that the home can meet their needs. EVIDENCE: The manager and deputy manager make sure that all potential residents have an assessment before they move and a copy of social services assessment. A recently admitted resident said that they had been given plenty of information before they moved in. All the residents who returned questionnaires had received enough information to help them make a decision as to the suitability of the home. The home Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 9 offers a trail period to all newly admitted residents. This is good practice as it supports residents to make a decision about moving into the home. Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed were 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of medications has significantly improved. Residents are included in writing and reviewing of their care plans and this helps them to understand the care that they are receiving. Daily records need to be developed to make sure that the care needs of the residents can be monitored. EVIDENCE: Five residents care plans were read. These all contained clear details about the care needs of the residents, and how the staff were to met their needs. All the care plans had been shown to the residents and signed by them. One resident said, “ I discuss my care with the manager every month, it helps me feel included”. Care plans were available in the staffing area and they were encouraged to read these regularly. A number of daily records were looked at staff were using abbreviations, not detailing how they had meet the care needs of the resident and on seven occasions made no entry for that day. Without Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 11 these daily records staff will not be able to identify if they are fully meeting the needs of the residents. Risk assessments for identified needs such as falls, moving and handling and pressure ulcers were available for most residents however two care plan seen did not include updated risk assessments these need to be up to date to minimise the risk to residents. Residents spoken with said that they were able to visit GP’s, Opticians and Dentists as needed records showed that residents were supported to attend hospital appointments as needed. One relative said, “ although only recently moved into the home, mum has had a new GP sorted and been taken to an appointment”. Questionnaires replied to by eight residents showed that all the residents thought they received medical support properly. Medications were reviewed. All medications were contained in a locked cupboard, which could not be accessed by residents. The home supports residents to keep and manage their own medications and these are risk assessed, the risk assessments need be further developed. Records for medications were accurately maintained. Three medications for residents were checked these had been given in accordance with the GP’s instructions. The manager has further developed the medication policy and staff have been supported to read this. Residents gave examples of how staff treat them with dignity, respect and take their individual needs into account. These included comments such as “I don’t like joining in so I stay in my room. Staff understand this and make sure they come and see me during the day”. Staff were observed to always knock on the doors of residents rooms before they entered. They were also observed during the day to speak to residents in an appropriate manner. Respect and an understanding of individual needs was displayed. Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed were 12,13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The routines of daily living are flexible however resident’s activities that reflect their needs and preferences need to be developed. Residents receive a variety of meals, which the majority of residents enjoy. EVIDENCE: There has been some increase in the staff writing down resident’s personal choices. As yet there is still scope for this to be increased in order to make sure that the residents choices are always determined and supported. Activities are provided, this is seen as “entertainment” or group activities and as yet does not take into account the individual activities that residents want to do such as daily housekeeping. Staff spoken with and the deputy manager were confident that they knew what the residents like. This may be appropriate for residents and staff who have spent a lot of time in the home, however new staff will rely on verbal information and it will take a long time to find out the choices of new residents or determine when residents choices change. Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 13 There is no set menu staff discuss with residents prior to each meal what is available. The meals are cooked by the care staff on duty that day, of the eight questionnaires returned three residents said they always liked the food cooked, three residents usually found it to their choice and two residents found it met their needs sometimes. This may be as the care staff are not trained in cooking and further development in cooking skills will benefit the residents. Two residents said that if they don’t like the food on offer an alternative would be made. Staff explained that as the home has thirteen residents it is very easy to make an alternative. Relatives spoken with detailed that they are encouraged to visit, relatives are asked not to visit during meal times and a notice in the entrance hall makes this clear. This allows staff to support the residents appropriately during meal times and to be able to make mealtimes a relaxing and social opportunity. All relatives spoken with said that they were “ always welcomed,” in the home”. They find it a very “friendly, inviting place, with lovely staff”. The deputy manager has started to hold residents and relatives meeting to further promote the individual needs of the residents and support them to influence things in the home such as activities and meals. Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed were 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have been informed of their rights and feel confident to raise their concerns. Staff training supports them to raise concerns of a serious nature and be confident that they will be dealt with appropriately. EVIDENCE: A copy of the homes complaints procedure is available in the main foyer. Questionnaires returned showed that all of the residents felt confident in raising any concerns and knew how to make a complaint. There have been no concerns raised with the Commission about this home the home has had two complaints that they have investigated. Discussions with staff detailed that they understood how to raise concerns, they were also able to explain what they saw as a potential abuse of residents. Staff have now all received training in protecting vulnerable adults and have been given the correct information as to who is responsible for investigating with serious concerns. There is a policy on how the home would deal with a Protection of Vulnerable Adults complaint raised and although reviewed it is brief and does not detail all the information that staff and residents would need. Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed were 19, 20, 21, 22, 23, 24, 25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is maintained to a good standard and is a clean, welcoming environment that is appreciated by the residents. Residents are encouraged to make their bedrooms their own space by bringing in personal items. EVIDENCE: A tour of the home showed that in general it was well maintained, clean and tidy. Questionnaires from residents showed that seven of the eight residents thought the home was always clean and tidy. There are two lounges and a dining room. All but one of the bedrooms have ensuite facilities. All the bathrooms viewed were clean and tidy. There is an assisted bath for residents who prefer a bath and shower facilities that are suitable for residents needs. Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 16 The manager has obtained extra funding to replace all the carpets in the corridors of the home and to increase the quality of furniture in the gardens. This should be done within the next 6 months. Five rooms were viewed, all were clean tidy and personalised by the residents. Residents can lock their bedrooms should they choose to do so and all had a lockable space to store valuables. There are 15 bedrooms although the home is registered for 19 residents. At present all the rooms are used as singles, all but one is a size suitable to share. All bedrooms have an adjustable thermostat to allow the residents to change the temperature of their bedrooms. All taps in the home have water restrictors in place to prevent the temperatures being too high and scalding residents. Three bedroom doors and the dining door were noted to be wedged open and risk assessments were not in place, to support the residents choice for bedroom doors to wedged open. The fire officer had instructed the home that the dining room door could be left open when moving items from the kitchen into the dining room. However on the day of the site visit this door was constantly wedged open. The garden area is well maintained and is easily accessible by the residents. Residents spoken with say “the garden is lovely” and “it’s so nice on a summers day”. Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed were 27, 28, 29 and 30. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. An established team of staff assists in maintaining a good level of support for residents. Records regarding staff recruitment, induction and training process have improved and are now sufficient to make sure that staffs’ skills can be monitored and increased. EVIDENCE: The home has thirteen residents living in the home on the day of the site visit. The majority of staff have worked in the home for a considerable amount of time. Of the members of staff spoken with one had worked in the home for over 14 years and another over 8 years. The manager has owned the home since the day it opened and the deputy has worked in Kilcreggan for 20 years. Staff files for new staff were looked at, all had written references, police checks, and protection of vulnerable adults and evidence of proper recruitment. All new staff had been confirmed as fit to work in the home before being allowed to do so. Residents and relatives were very complimentary about staffs’ abilities. One relative said that that the staff were “flawless”, two residents said they were “very happy”. Questionnaires showed that all residents thought they always Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 18 got the support that they needed. Staff spoken with thought that there was enough staff available as although they undertake all the cooking and cleaning duties as part of their job, the manager and deputy are available as they live in a bungalow attached to the home. Training arrangements were clear and all staff have had updated training in moving and handling protection of vulnerable adults, fire safety and the majority have food hygiene certificates. Several staff have also progressed further with National vocational Qualification’s, which is a training programme for care staff. The majority of staff learn their job with the support of staff who have worked in the home for several years. At present there is no specific training for staff such as specialised diets or dementia. Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards assessed were 31, 32, 33, 35, and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a stable management team that are available to support the residents and the staff. They have made efforts to increase the quality of the service provided and have improved in several areas from the last inspection. EVIDENCE: Kilcreggan is a family run business the home has been owned by the registered manager since 1978. She has been the manager since 1982. The manager’s son is the Responsible Individual and part owner of the home. The manager’s daughter in law is the deputy manager and part owner of the home. The management of the home is undertaken by the deputy manager who is available in the home nearly 7 days a week, she undertakes all staffing Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 20 arrangements, assessments of residents, ordering of medicines, care planning and records within the home. One resident said of the deputy “she’s great” another resident said “very approachable”. A stable staff team helps support the management team. The staff spoken with are aware that policies and procedures were available, although these needed to be updated in line with changes in the homes practices. The home has a formal quality assurance that detailed 1 star from a potential 5. As yet this has not been repeated. However the manager plans to do their own questionnaires to residents, relatives and staff and to develop a plan that would further increase the quality of the care and support provided. The home is not appointee for any residents and does not deal with resident’s personal finances unless specifically asked. They receive £10 per week for one resident, which is given directly to him and signed for. Other residents are either dealing with their own funds or their family members manage this. Certificates were available for all key areas such as, gas electricity and small electrical appliance testing all were in date. Fire alarms and emergency lighting were regularly recorded. The home keeps these up to date in order to maintain the health and safety of the building. The accident records were viewed, the home is now reporting all accidents to CSCI. However there was one accident for a resident that had not been recorded in the accident book, it was detailed in the care plan. However all accidents have to be recorded in the legal accidents records available in the home. Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 X X 3 Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP7 Good Practice Recommendations Staff need to describe accurately how they have meet the needs of the residents at every shift. The use of abbreviations and phrases that have no particular meaning such as “no new problems”, “good day” are best avoid. The opportunity to explore residents choices and provide all staff with clear information should be taken Staff training needs to reflect all the needs of the residents and the roles of the staff. The home needs to regularly monitor residents dependency needs in order to decide that staffing levels are suitable to meeting the needs of the residents. Policies and procedures need to be looked at and used to match what happens in the home. This will also inform the staff of the expected standards. Staff need to stick to the instructions from the fire officer regarding the fire door from the dining room. Residents would benefit if all the risk assessments were DS0000045141.V332443.R01.S.doc Version 5.2 Page 23 2. 3. 4. 5. 6. 7. OP12 OP27 OP27 OP33 OP38 OP38 Kilcreggan Residential Care Home 8. OP38 reviewed and full explanations and instructions put into place. Staff need to record all accidents that occur to the residents. They need to use the accident forms available in the home as this meet the legal requirements for recording accidents. Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Kilcreggan Residential Care Home DS0000045141.V332443.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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